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Questionnaires
Modules By State (2005)
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| State |
Module(s) |
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| Alabama | Actions to Control High Blood Pressure, Arthritis Management, Binge Drinking, Cardiovascular Health, Childhood Asthma Prevalence, Diabetes, Heart Attack and Stroke | | Alaska | Arthritis Management, Diabetes | | Arizona | Actions to Control High Blood Pressure, Adult Asthma History, Childhood Asthma Prevalence, Colorectal Cancer Screening, Diabetes, Influenza, Intimate Partner Violence, Random Child Selection, Secondhand Smoke Policy, Sexual Violence, Smoking Cessation | | Arkansas | Actions to Control High Blood Pressure, Cardiovascular Health, Diabetes, Influenza, Osteoporosis, Secondhand Smoke Policy, Smoking Cessation, Weight Control, Women's Health | | California | Arthritis Management, Child Immunization, Childhood Asthma Prevalence, Diabetes, Influenza, Osteoporosis | | Colorado | Adult Asthma History, Arthritis Management, Diabetes, Sexual Violence, Smoking Cessation | | Connecticut | Actions to Control High Blood Pressure, Adult Asthma History, Cardiovascular Health, Child Immunization, Childhood Asthma Prevalence, Diabetes, Influenza, Osteoporosis, Random Child Selection, Sexual Violence, Smoking Cessation, Weight Control | | Delaware | Adult Asthma History, Diabetes, Reactions to Race, Sexual Violence, Smoking Cessation, Weight Control | | District of Columbia | Cardiovascular Health, Diabetes, Heart Attack and Stroke | | Florida | Actions to Control High Blood Pressure, Arthritis Management, Colorectal Cancer Screening, Diabetes, Heart Attack and Stroke, Sexual Violence | | Georgia | Actions to Control High Blood Pressure, Adult Asthma History, Arthritis Management, Cardiovascular Health, Colorectal Cancer Screening, Diabetes, Osteoporosis, Weight Control, Women's Health | | Hawaii | Intimate Partner Violence, Sexual Violence | | Idaho | Adult Asthma History, Arthritis Management, Childhood Asthma Prevalence, Diabetes, Oral Health, Random Child Selection, Sexual Violence | | Indiana | Adult Asthma History, Arthritis Management, Childhood Asthma Prevalence, Colorectal Cancer Screening, Diabetes, Random Child Selection, Smoking Cessation | | Iowa | Adult Asthma History, Arthritis Management, Child Immunization, Childhood Asthma Prevalence, Colorectal Cancer Screening, Diabetes, Heart Attack and Stroke, Intimate Partner Violence, Random Child Selection, Secondhand Smoke Policy, Smoking Cessation, Visual Impairment and Access to Eye Care, Women's Health | | Kentucky | Actions to Control High Blood Pressure, Arthritis Management, Cardiovascular Health, Diabetes, Secondhand Smoke Policy, Weight Control | | Louisiana | Actions to Control High Blood Pressure, Arthritis Management, Cardiovascular Health, Diabetes, Heart Attack and Stroke, Visual Impairment and Access to Eye Care | | Maine | Adult Asthma History, Cardiovascular Health, Colorectal Cancer Screening, Diabetes, Heart Attack and Stroke, Influenza, Oral Health, Women's Health | | Michigan | Childhood Asthma Prevalence, Random Child Selection | | Minnesota | Actions to Control High Blood Pressure, Arthritis Management, Cardiovascular Health, Child Immunization, Childhood Asthma Prevalence, Diabetes, Heart Attack and Stroke, Influenza, Osteoporosis, Random Child Selection | | Mississippi | Actions to Control High Blood Pressure, Cardiovascular Health, Heart Attack and Stroke, Oral Health, Osteoporosis, Sexual Violence, Women's Health | | Missouri | Adult Asthma History, Arthritis Management, Diabetes, Heart Attack and Stroke, Intimate Partner Violence, Sexual Violence | | Montana | Actions to Control High Blood Pressure, Adult Asthma History, Cardiovascular Health, Child Immunization, Childhood Asthma Prevalence, Diabetes, Heart Attack and Stroke, Random Child Selection, Weight Control | | Nebraska | Cardiovascular Health | | Nevada | Arthritis Management, Diabetes, Intimate Partner Violence, Oral Health, Secondhand Smoke Policy, Sexual Violence, Smoking Cessation, Women's Health | | New Hampshire | Child Immunization, Childhood Asthma Prevalence, Diabetes, Influenza, Random Child Selection, Smoking Cessation | | New Jersey | Actions to Control High Blood Pressure, Adult Asthma History, Cardiovascular Health, Childhood Asthma Prevalence, Diabetes, Osteoporosis, Random Child Selection, Secondhand Smoke Policy, Smoking Cessation, Women's Health | | New Mexico | Childhood Asthma Prevalence, Diabetes, Osteoporosis, Random Child Selection, Weight Control | | New York | Actions to Control High Blood Pressure, Adult Asthma History, Arthritis Management, Cardiovascular Health, Diabetes, Osteoporosis | | North Carolina | Diabetes, Osteoporosis, Secondhand Smoke Policy, Smoking Cessation | | North Dakota | Actions to Control High Blood Pressure, Cardiovascular Health, Diabetes, Random Child Selection | | Ohio | Adult Asthma History, Arthritis Management, Cardiovascular Health, Child Immunization, Childhood Asthma Prevalence, Diabetes, Influenza, Intimate Partner Violence, Random Child Selection, Reactions to Race, Sexual Violence, Visual Impairment and Access to Eye Care | | Oklahoma | Arthritis Management, Cardiovascular Health, Heart Attack and Stroke, Intimate Partner Violence, Osteoporosis, Secondhand Smoke Policy, Sexual Violence | | Oregon | Childhood Asthma Prevalence, Random Child Selection | | Pennsylvania | Adult Asthma History, Arthritis Management, Childhood Asthma Prevalence, Diabetes, Influenza, Osteoporosis, Random Child Selection, Weight Control | | Puerto Rico | Childhood Asthma Prevalence, Intimate Partner Violence, Random Child Selection, Sexual Violence | | Rhode Island | Adult Asthma History, Arthritis Management, Child Immunization, Childhood Asthma Prevalence, Intimate Partner Violence, Random Child Selection, Sexual Violence | | South Carolina | Arthritis Management, Cardiovascular Health, Diabetes, Influenza, Secondhand Smoke Policy, Sexual Violence, Smoking Cessation, Weight Control | | South Dakota | Child Immunization, Childhood Asthma Prevalence, Diabetes, Random Child Selection | | Tennessee | Diabetes, Heart Attack and Stroke, Sexual Violence, Smoking Cessation, Visual Impairment and Access to Eye Care, Women's Health | | Texas | Adult Asthma History, Childhood Asthma Prevalence, Diabetes, Home Environment, Indoor Air Quality, Secondhand Smoke Policy, Smoking Cessation, Visual Impairment and Access to Eye Care | | Utah | Actions to Control High Blood Pressure, Adult Asthma History, Arthritis Management, Cardiovascular Health, Diabetes | | Vermont | Adult Asthma History, Child Immunization, Childhood Asthma Prevalence, Diabetes, Influenza, Intimate Partner Violence, Random Child Selection, Sexual Violence, Weight Control, Women's Health | | Virgin Islands | Diabetes, Intimate Partner Violence, Secondhand Smoke Policy, Sexual Violence, Smoking Cessation | | Virginia | Adult Asthma History, Arthritis Management, Cardiovascular Health, Child Immunization, Childhood Asthma Prevalence, Colorectal Cancer Screening, Diabetes, Heart Attack and Stroke, Intimate Partner Violence, Oral Health, Prostate Cancer Screening, Random Child Selection, Secondhand Smoke Policy, Sexual Violence, Smoking Cessation, Weight Control, Women's Health | | Washington | Diabetes | | West Virginia | Actions to Control High Blood Pressure, Adult Asthma History, Cardiovascular Health, Child Immunization, Childhood Asthma Prevalence, Diabetes, Heart Attack and Stroke, Random Child Selection, Secondhand Smoke Policy, Smoking Cessation | | Wisconsin | Adult Asthma History, Child Immunization, Childhood Asthma Prevalence, Influenza, Random Child Selection, Reactions to Race, Secondhand Smoke Policy, Sexual Violence, Smoking Cessation | | Wyoming | Diabetes, Influenza, Secondhand Smoke Policy, Women's Health
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